J.D., begins a surgical rotation and in an attempt to lose his nerdy medical resident reputation he reveals a secret about Turk to get "in" with the rest of the surgeons. While his betrayal earns him a place at the surgical table, it may cost him a friendship. Meanwhile a miscommunication between Elliot and Paul leads to confusion about their true feelings for each other and Dr. Cox plays a "deadly" practical joke on Dr. Kelso.